Individual provider Active NPI

Renee Germain Zavislak, M.S., M.A., LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1285182584
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93275 Issued in CA
Practice address
1630 Lombard St
San Francisco, CA 94123-3007
Phone
(415) 933-0522
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93275 CA Primary

Addresses

Primary practice location

1630 Lombard St
San Francisco, CA 94123-3007

Mailing address

1630 Lombard St
San Francisco, CA 94123-3007
Phone (415) 933-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
93275CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1285182584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 LOMBARD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233007",
            "telephone_number": "415-933-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 LOMBARD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233007",
            "telephone_number": "415-933-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVISLAK",
        "first_name": "RENEE",
        "middle_name": "GERMAIN",
        "credential": "M.S., M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.